Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Bay Retina Consultants a Medical Group, Inc

Organization Ophthalmology Physician · NPI 1124319959

East Bay Retina Consultants a Medical Group, Inc is an Ophthalmology Physician in Concord, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Willow Pass Rd Ste 120
Concord, CA 94520-7982
Phone: (925) 680-1600
Fax: (925) 680-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A44312 (CA)

Record details

NPI number1124319959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Lee — Corporate Vice President · (510) 444-1600
Other names East Bay Retina Consultants, Inc.
NPI enumeratedApril 27, 2011
Last updated in NPPESFebruary 29, 2016
Mailing address3300 Telegraph Ave, Oakland, CA 94609-3028

Other providers in Concord